COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.SUPERIOR COURT OF THE DISTRICT OF COLUMBIA FAMILY COURT DOMESTIC RELATIONS BRANCH ADOPTIONJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)EX PARTE IN THE MATTER OF)) THE PETITION OF) ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .) Adoption Case No. A- )) FOR ADOPTION OF MINOR CHILD.THE PEOPLE OF THE STATE OF NEW YORK TO)PETITION FOR ADOPTIONGREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the HonorableThe Petitioner(s) in this case is/are. The Petitioner(s),located at County ofrepresent(s) the following to this Court:o'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in room1.That this Court has jurisdiction under the provision of D.C. Code ยง 16-301,et. seq. in that (the Petitioner(s) is/are legal resident(s) of the District of Columbia and has/have been forYour failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply.months/years.) (The Petitioner(s) has/have been [aresident][residents] of the District of Columbia since, which is at least one year, one of the Justices of theCourt in Witness, Honorableday of, 20 County,next preceding the filing of the petition.) (The prospective adoptee,, is in thelegal care, custody, or control of [the Child and Family Services Agency] [], a(Attorney must sign above and type name below)child-placing agency licensed by the District of Columbia.)2.The Petitioner(s) is/are/are not married. They were married on. (IfAttorney(s) forthe Petitioners are not married, state the nature of their relationship.)3.The Petitioner(s) reside(s) at.Office and P.O. Address4.(age). ThisThe first Petitioner, (name), was born on (dob) and isTelephone No.: Facsimile No.: E-Mail Address:Petitioner is (race) and is a member of thereligion.Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.5.The first Petitioner,, is employed byin the position of.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)6.The second Petitioner, (name), was born on (dob) and is(age). ThisPetitioner is (race) and is a member of thereligion.7.The second Petitioner,, is employed byin the position of.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8.The prospective adoptee is a young boy/girl, who isyears old, wasborn on (dob) in (place). The prospective adoptee is (race) and a member of the religion.THE PEOPLE OF THE STATE OF NEW YORK TO9.The prospective adoptee is the Petitioner'(s)' (relationship to thePetitioner).GREETINGS:10.(The Petitioner(s) is/are (not) requesting an adoption subsidy.) (AnWE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,adoption subsidy agreement has (not) been entered into prior to the filing of this Petition. The status of the subsidy agreement islocated at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in room.) (The prospective adoptee will(not) qualify for an adoption subsidy as the prospective adoptee isyears old and .)11.The Petitioner(s) has/have (not) received the complete medical, social, orYour failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply.background information on the prospective adoptee., one of the Justices of the12.On information and belief, the prospective adoptee's birth mother is.Court in Witness, Honorableday of, 20 County,Her last known address is. Ms.is (race) and a member of thereligion. (The birth mother's identity and/or location is unknown and the following efforts have been made to obtain this information:(Attorney must sign above and type name below).)Attorney(s) for13.On information and belief, the prospective adoptee's birth father is.His last known address isreligion.is (race) and a member of the. Mr.Office and P.O. Address(The birth father's identity and/or location is unknown and the following efforts have been made to obtain this information:.)Telephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:2American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.14.(The prospective adoptee was placed in the care of the Petitioner(s)JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)on (date ) (The prospective adoptee was placed in the Petitioner'(s') care on (date) by Child and Family Services Agency.) (The prospective adoptee is not residing with the Petitioner because:.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15.(There is/are [no] executed original written consent(s) signed by(mother/father/guardian). (There is/are [no] relinquishment(s) of parental rights signed by the biological parent(s).) (There is/are [no] order(s) terminating parental rights by a court of competent jurisdiction.) (There is [not] an affidavit by the putative father denying paternity and/or an affidavit by the birth mother that the birth father is unknown.)THE PEOPLE OF THE STATE OF NEW YORK TOGREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,16.The name and address of the agency responsible for securing anylocated at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomrequired consent or relinquishment of birth parent(s) is.17.The name an address of the birth parent(s), who have n
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